OK Ladies, I have a question about reconstruction and insurance

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postal2
Veteran Member


Date Joined Jul 2003
Total Posts : 1106
   Posted 5/12/2009 12:09 PM (GMT -7)   
If, when my implants need replacing, do you know if insurance would give me the option of going with a different reconstruction, or (which I figure) they would say I have to stick with implants?
I would possibly consider the free flap if I still could. I had that option and consultation before I did the implants, but decided on the implant recon. They never have been what I had hoped they would be, so I would possibly switch if it were covered.
 
Anyone have any info or knowledge on this subject?
 
Thank, and I hope you all had a wonderful Mother's Day!!!!
L&H, Gail
  It's only when we truly know and understand that we have a limited time on earth -- and that we have no way of knowing when our time is up, we will then begin to live each day to the fullest, as if it was the only one we had.
 
Elisabeth Kubler Ross


DiVanDyke
Veteran Member


Date Joined Jul 2003
Total Posts : 734
   Posted 5/12/2009 7:58 PM (GMT -7)   
Hi ,
Sorry I don't know. They would not be able to help me. I just wanted to say, HI. di

postal2
Veteran Member


Date Joined Jul 2003
Total Posts : 1106
   Posted 5/13/2009 12:41 AM (GMT -7)   
Hi Di, it is great to see you here again! I miss you dear friend.
 
L&H,
Gail
  It's only when we truly know and understand that we have a limited time on earth -- and that we have no way of knowing when our time is up, we will then begin to live each day to the fullest, as if it was the only one we had.
 
Elisabeth Kubler Ross


gma
Veteran Member


Date Joined Jul 2003
Total Posts : 2921
   Posted 5/13/2009 7:47 AM (GMT -7)   
I don't know the answer, either. Sorry! Glad to see your post, tho. Hugs MK


Frayda
Regular Member


Date Joined Aug 2003
Total Posts : 248
   Posted 5/16/2009 6:34 AM (GMT -7)   

Hi Gail!

If your insurance paid for the original reconstruction and your doctor can document that the implants need replacement, they should not dictate the type of reconstruction. It will probably need to be pre-certified.  Your doctor's office does that. Part of the pre-cert process is to document medical necessity for which ever method you and your doctor choose.  This is something that is routine for surgeons... they know what to do!

L&H, Frayda


postal2
Veteran Member


Date Joined Jul 2003
Total Posts : 1106
   Posted 5/17/2009 10:27 AM (GMT -7)   
Thank you Frayda!! Happy anniversary soon!!!

L&H, Gail
  It's only when we truly know and understand that we have a limited time on earth -- and that we have no way of knowing when our time is up, we will then begin to live each day to the fullest, as if it was the only one we had.
 
Elisabeth Kubler Ross

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